| NPI | 1871220152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432521) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 839151) |
| 363L00000X Nurse Practitioner (Licence: NY XXX) | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-12-23 |